| NPI | 1699730648 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME51638) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: FL ME51638) |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2021-05-12 |